EXHIBIT 5.2
Participant Voluntary Election Form
FIRST CARNEGIE DEPOSIT
SALARY DEFERRAL PLAN & TRUST
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Participant Voluntary Investment Election Form
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__________________________________ ___________________________________
Name of Plan Participant Social Security Number
1. Instructions.
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The First Carnegie Deposit Deferral Salary Plan & Trust ("Plan")
permits participants to direct all, or a portion, of the assets attributable to
their Participant Account into the Employer Stock Fund. The assets attributable
to a Participant's Account under the Plan transferred at the direction of the
Participant into the Employer Stock Fund will be used to purchase shares of
common stock (the "Common Stock") of the First Carnegie Deposit ("Bank")
purchased in the open-market.
To direct a transfer of all or a part of the funds credited to your
accounts to the Employer Stock Fund, you should complete and provide this form
to Ms. Carol Gilbert, the Plan representative, at the Bank who will retain this
form and return a copy to you. If you need any assistance in completing this
form, please contact Ms. Carol Gilbert at (412) 276-2424.
2. Investment Directions.
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As a Participant in the Plan, I hereby voluntarily elect to direct the
Trustee of the Plan to invest the below indicated dollar sum of my Participant
Account balance under the Plan as indicated below.
I hereby voluntarily elect and request to direct investment of the
below indicated dollar amount of my Participant Account funds for the purchase
of the Common Stock of the Bank: $________________. Enter your $ level of
requested purchase through the Plan. Such amount does not exceed the portion of
assets held under the Plan for the underlying Participant.
All other funds in my Participant Account will remain invested as
previously requested.
3. Acknowledgement.
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I fully understand that this self-directed portion of my Participant
Account does not share in the overall net earnings, gains, losses, and
appreciation or depreciation in the value of assets held by the Plan's other
investment funds, but only in my Account's allocable portion of such items from
the Employer Stock Fund. I understand that the Plan's Trustee, in complying with
this election and in following my directions for the investment of my Account,
is not responsible
or liable in any way for the expenses or losses that may be incurred by my
Account assets invested in Common Stock under the Employer Stock Fund.
I further understand that this election shall become irrevocable by me
upon execution and submission of this Investment Form.
Only properly signed forms delivered to the Plan's Trustee will be honored.
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The undersigned Participant and Spouse (if applicable) acknowledge and
consent that such sums invested in the Common Stock under the Employer Stock
Fund will be distributed in the future, pursuant to the terms of the Plan, in
the form of Common Stock at the sole discretion of the Plan Administrator, and
that the undersigned hereby waives any claim, right or option which may exist,
if any, to receive any other optional form of benefit payment for such
Participant Account assets being invested in such Common Stock under the
Employer Stock Fund.
The undersigned hereby acknowledges that the shares of Common Stock to
be purchased with the funds noted above are not savings accounts or deposits and
are not insured by the Federal Deposit Insurance Corporation, the Bank Insurance
Fund, the Savings Association Insurance Fund or any other governmental agency.
Investment in such Common Stock will expose the undersigned to the investment
risks and potential fluctuations in the market price of such Common Stock. Such
investment in the Common Stock does not offer any guarantees regarding
maintenance of the principal value of such investment or any projections or
guarantees associated with future value or dividend payments with respect to
such Common Stock. The undersigned has read and understands the above listed
documents and hereby voluntarily makes and consents to this investment election
and voluntarily signed his (her) name as of the date listed below. If you so
elect, you may choose not to make any investment decision at this time.
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Witness Date Participant Date
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Witness Date Participant's Spouse Date
For the Trustee For the Plan Administrator
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Date Date